Stougie Shirley D, Zijlker Hero J A, Coert J Henk
Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
J Wrist Surg. 2023 Apr 21;13(1):9-15. doi: 10.1055/s-0043-1761945. eCollection 2024 Feb.
Severely destroyed wrists can be managed by combined radiocarpal and distal radioulnar joint (DRUJ) replacement that reduces pain while mobility is ought to be reserved. The combination of these arthroplasties is rarely reported in the literature. This article describes the clinical outcomes of six consecutive patients with both total wrist and Aptis DRUJ arthroplasty with a median follow-up of 50 months (range: 18-108 months). Patients with a TWA combined with an Aptis DRUJ arthroplasty were retrospectively identified. The patients were treated between 2011 and 2020. The flexion-extension arc was slightly decreased in three cases while forearm rotation was improved in three patients. Pain was adequately reduced in four patients and significant pain was seen in two patients. Although three of four patients could not return to previous work, all patients claimed to be satisfied with the result of the procedure. This article demonstrates the possible feasibility of this combined arthroplasty in patients with a destroyed and unstable wrist. Level III.
严重受损的手腕可通过桡腕关节和远侧桡尺关节（DRUJ）联合置换进行治疗，这种治疗可减轻疼痛，同时应保留关节活动度。这些关节成形术的联合应用在文献中鲜有报道。 本文描述了连续6例接受全腕关节置换和Aptis DRUJ关节成形术患者的临床结果，中位随访时间为50个月（范围：18 - 108个月）。 回顾性确定了接受全腕关节置换联合Aptis DRUJ关节成形术的患者。这些患者于2011年至2020年期间接受治疗。 3例患者的屈伸弧度略有减小，3例患者的前臂旋转功能得到改善。4例患者疼痛得到充分减轻，2例患者仍有明显疼痛。虽然4例患者中有3例无法恢复之前的工作，但所有患者均表示对手术结果满意。 本文证明了这种联合关节成形术在手腕严重受损且不稳定患者中的可行性。 三级。
